通补胞络法论治早期先兆流产合并绒毛膜下血肿  

Treatment of Early Threatened Abortion Complicated with Subchorionic Hematoma by The Method of Dredging and Tonifying Uterine Collaterals

作　　者：刘晓静[1] 黄艳茜 邓高丕[1] LIU Xiaojing;HUANG Yanxi;DENG Gaopi(The Frist Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510405,China)

机构地区：[1]广州中医药大学第一附属医院,广东广州510405

出　　处：《中医药导报》2023年第7期129-132,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：邓高丕广东省名中医传承工作室建设项目(粤中医办函〔2019〕5号)。

摘　　要：从络病理论认识早期先兆流产合并绒毛膜下血肿,认为其病之本质为胞络血证,病机以胞络“虚、瘀、热”为核心,其中络虚为发病之根本,瘀与热为发病之机要,瘀阻胞络贯穿疾病之始终。本病虚实夹杂,而胞络以通为用,治法应以通补胞络为主,临证时遵循“以补为主,以通为用,以清为辅”的原则遣方用药。治疗时还须根据疾病处于不同发展阶段,即“出血期-血止期-恢复期”,灵活把握“止血-澄源-固本”的治疗原则。Based on the theory of collateral disease,the essence of early threatened abortion complicated with subchorionic hematoma is a blood disease of uterine collaterals,and the core pathogenesis is"deficiency,stasis and heat"of uterine collaterals,of which deficiency of collaterals is the root while stasis and heat is the vital part of the onset,as well as the stasis of uterine collaterals throughout the disease.This disease is intermingled deficiency and excess,what's more,the uterine collaterals must be unobstructed when for use,so that the treatment should be taken by the method of"dredging and tonifying uterine collaterals"mainly,and follow the principle of"tonifying as the main,dredging for using,and clearing as complementary".It should also flexibly grasp the treatment principle of"hemostasis-clear source-root fixation",which is based on the different development stages of the disease,namely"bleeding stage-blood stop stage-recovery stage".

关 键 词：早期先兆流产 绒毛膜下血肿 络病理论 血证 通补胞络法 

分 类 号：R241.7[医药卫生—中医诊断学]